Organization Active NPI

Munson Township Trustee

  • Ambulance
  • Chardon, OH
National Provider Identifier
1184432387
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MUNSON TOWNSHIP TRUSTEE
Practice address
12210 Auburn Rd
Chardon, OH 44024-9454
Phone
(440) 286-9255
NPI assigned
Dec 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Todd Robert RayNPI 1104334697
Title
Fiscal Officer
Phone
(440) 286-9255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

12210 Auburn Rd
Chardon, OH 44024-9454

Mailing address

12210 Auburn Rd
Chardon, OH 44024-9454
Phone (440) 286-9255

Other names 1

  • Munson Township Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250327003069 OH Part B Supplier - Ambulance Service Supplier 9032632385 Practice locations: Chardon, OH

National Provider Directory

National Provider Directory

Locations

12210 Auburn Rd
Chardon, OH 44024
Phone (440) 286-9255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1184432387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12210 AUBURN RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249454",
            "telephone_number": "440-286-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12210 AUBURN RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249454",
            "telephone_number": "440-286-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON TOWNSHIP TRUSTEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "440-286-9255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Munson Township",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.